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Furthermore, myomas in the uterus lead to occlusions of the lumen and so cause sterility. Effects[edit] Psychological[edit] The consequences of infertility are manifold and can include societal repercussions and personal suffering.

Treatment of tubal obstruction generally requires referral for subspecialty care. Blood, urine, and imaging tests can be done to discover why you are having trouble getting pregnant.

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Placenta Percreta Invading Bladder. (PDF, 2 MB) The Journal of Urology, 1973. Erectile dysfunction Hormonal changes, psychological factors, or physical issues may make it difficult to get or keep an erection.

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NIH: National Institute of Child Health and Human Development Start Here Defining Infertility (American Society for Reproductive Medicine) - PDF Infertility (Mayo Foundation for Medical Education and Research) Also in Spanish Infertility and Fertility (National Institute of Child Health and Human Development) Infertility FAQ's (Centers for Disease Control and Prevention) Optimizing Natural Fertility (American Society for Reproductive Medicine) - PDF Also in Spanish Pregnancy Problems? No Differences in Outcome after Intracytoplasmic Sperm Injection with Fresh or with Frozen-thawed Epididymal Spermatozoa. (PDF, 66 KB) Human Reproduction, 1999.

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Less common factors The following other factors may also be responsible for infertility in a smaller proportion of cases: • Genetic abnormalities within eggs, sperm or both • An abnormal uterine cavity, including the presence of fibroids or polyps • Immunological infertility, whereby either the male or female partner produces anti-bodies against sperm cells or implantation of an embryo • Abnormal cervical mucus which hinders the passage of sperm to the uterus and fallopian tubes Unexplained infertility Even when investigations have been extensive, some couples will have no reason with which to explain their infertility. 8 Couples with unexplained infertility may want to consider another year of intercourse before moving to more costly and invasive therapies, such as assisted reproductive technology. Basic Work-up for Infertility Detailed history and physical examination. Semen analysis. Evidence of ovulation. (Day 2-3 gonadotrophins, Day 21 progesterone) Susceptibility to rubella Cervical smear screening Screening for Chlamydia trachomatis Serum prolactin Thyroid function tests 12. Semen analysis: - semen volume: 1. Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. About a third of the time, infertility can be traced to the woman. Reduced fecundability in women with prenatal exposure to cigarette smoking. Therefore, data estimating the prevalence of infertility cited by various sources differs significantly.[8] A couple that tries unsuccessfully to have a child after a certain period of time (often a short period, but definitions vary) is sometimes said to be subfertile, meaning less fertile than a typical couple. Age: Male fertility starts to fall after 40 years. Testosterone is a key hormone for male fertility, so problems with the testes that produce this hormone may lead to infertility. MESA or TESA? (PDF, 115 KB) Human Reproduction, 1996.